Subjects -> MEDICAL SCIENCES (Total: 8196 journals)
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ORTHOPEDICS AND TRAUMATOLOGY (150 journals)                     

Showing 1 - 152 of 152 Journals sorted alphabetically
Acta Orthopaedica     Open Access   (Followers: 32)
Advances in Orthopedics     Open Access   (Followers: 9)
American Journal of Orthodontics and Dentofacial Orthopedics     Hybrid Journal   (Followers: 9)
American Journal of Orthopedics     Partially Free   (Followers: 3)
Archives of Orthopaedic and Trauma Surgery     Hybrid Journal   (Followers: 9)
Archives of Osteoporosis     Hybrid Journal   (Followers: 1)
Arthritis und Rheuma     Hybrid Journal  
Arthroplasty Today     Open Access   (Followers: 1)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 5)
BMC Musculoskeletal Disorders     Open Access   (Followers: 29)
Bone & Joint 360     Full-text available via subscription   (Followers: 18)
Bone Research     Hybrid Journal   (Followers: 2)
Burns & Trauma     Open Access   (Followers: 11)
Cartilage     Hybrid Journal   (Followers: 5)
Case Reports in Orthopedic Research     Open Access  
Case Reports in Orthopedics     Open Access   (Followers: 6)
Chinese Journal of Traumatology     Open Access  
Cleft Palate-Craniofacial Journal     Hybrid Journal   (Followers: 8)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3)
Clinical Orthopaedics and Related Research     Hybrid Journal   (Followers: 78)
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Concussion     Open Access  
Craniomaxillofacial Trauma and Reconstruction     Hybrid Journal   (Followers: 1)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 14)
Current Reviews in Musculoskeletal Medicine     Open Access   (Followers: 13)
Der Orthopäde     Hybrid Journal   (Followers: 6)
Die Wirbelsäule     Hybrid Journal  
Duke Orthopedic Journal     Open Access   (Followers: 5)
East African Orthopaedic Journal     Full-text available via subscription  
EFORT Open Reviews     Open Access   (Followers: 1)
Egyptian Orthopaedic Journal     Open Access   (Followers: 1)
EMC - Técnicas Quirúrgicas - Ortopedia y Traumatología     Full-text available via subscription  
EMC - Tecniche Chirurgiche - Chirurgia Ortopedica     Full-text available via subscription  
Ergonomics     Hybrid Journal   (Followers: 22)
European Journal of Orthopaedic Surgery & Traumatology     Hybrid Journal   (Followers: 9)
European Journal of Podiatry / Revista Europea de Podología     Open Access   (Followers: 1)
European Spine Journal     Hybrid Journal   (Followers: 24)
Foot & Ankle International     Hybrid Journal   (Followers: 10)
Foot & Ankle Orthopaedics     Open Access   (Followers: 3)
Gait & Posture     Hybrid Journal   (Followers: 17)
Geriatric Orthopaedic Surgery Rehabilitation     Open Access   (Followers: 5)
Global Spine Journal     Open Access   (Followers: 12)
Hip International     Hybrid Journal  
Indian Journal of Orthopaedics     Open Access   (Followers: 8)
Informationen aus Orthodontie & Kieferorthopädie     Hybrid Journal  
Injury     Hybrid Journal   (Followers: 20)
International Journal of Orthopaedic and Trauma Nursing     Hybrid Journal   (Followers: 11)
International Journal of Orthopaedic Surgery     Open Access   (Followers: 5)
International Journal of Orthopaedics     Open Access   (Followers: 2)
International Journal of Research in Orthopaedics     Open Access  
International Musculoskeletal Medicine     Hybrid Journal   (Followers: 7)
International Orthopaedics     Hybrid Journal   (Followers: 18)
JAAOS : Global Research & Reviews     Open Access   (Followers: 1)
JBJS Journal of Orthopaedics for Physician Assistants     Hybrid Journal  
JBJS Reviews     Full-text available via subscription   (Followers: 11)
JOR Spine     Open Access   (Followers: 3)
Journal de Traumatologie du Sport     Full-text available via subscription   (Followers: 2)
Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen     Hybrid Journal  
Journal of Bone and Joint Diseases     Open Access   (Followers: 4)
Journal of Bone and Joint Infection     Open Access   (Followers: 1)
Journal of Brachial Plexus and Peripheral Nerve Injury     Open Access   (Followers: 4)
Journal of Cachexia, Sarcopenia and Muscle     Open Access   (Followers: 2)
Journal of Children's Orthopaedics     Open Access   (Followers: 10)
Journal of Clinical Orthopaedics and Trauma     Hybrid Journal   (Followers: 5)
Journal of Experimental Orthopaedics     Open Access   (Followers: 8)
Journal of Hand Surgery (European Volume)     Hybrid Journal   (Followers: 44)
Journal of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 17)
Journal of Musculoskeletal Research     Hybrid Journal   (Followers: 9)
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie     Hybrid Journal  
Journal of Orthodontic Science     Open Access   (Followers: 2)
Journal of Orthopaedic & Sports Physical Therapy     Full-text available via subscription   (Followers: 69)
Journal of Orthopaedic Association of South Indian States     Open Access   (Followers: 5)
Journal of Orthopaedic Diseases and Traumatology     Open Access   (Followers: 5)
Journal of Orthopaedic Reports     Full-text available via subscription   (Followers: 12)
Journal of Orthopaedic Research     Hybrid Journal   (Followers: 29)
Journal of Orthopaedic Science     Hybrid Journal   (Followers: 4)
Journal of Orthopaedic Surgery     Open Access   (Followers: 1)
Journal of Orthopaedic Surgery and Research     Open Access   (Followers: 8)
Journal of Orthopaedic Translation     Open Access  
Journal of Orthopaedic Trauma     Hybrid Journal   (Followers: 15)
Journal of Orthopaedics     Full-text available via subscription   (Followers: 3)
Journal of Orthopaedics and Allied Sciences     Open Access   (Followers: 9)
Journal of Orthopaedics and Spine     Open Access   (Followers: 3)
Journal of Orthopaedics and Traumatology     Open Access   (Followers: 16)
Journal of Orthopaedics, Trauma and Rehabilitation     Open Access   (Followers: 6)
Journal of Orthopedics & Rheumatology     Open Access  
Journal of Orthopedics, Traumatology and Rehabilitation     Open Access   (Followers: 6)
Journal of Pediatric Orthopaedics     Hybrid Journal   (Followers: 15)
Journal of Prosthetics and Orthotics     Hybrid Journal   (Followers: 14)
Journal of Scleroderma and Related Disorders     Hybrid Journal  
Journal of the American Academy of Orthopaedic Surgeons     Hybrid Journal   (Followers: 12)
Journal of the American Podiatric Medical Association     Full-text available via subscription   (Followers: 8)
Journal of Traumatic Stress     Hybrid Journal   (Followers: 25)
Knee Surgery, Sports Traumatology, Arthroscopy     Hybrid Journal   (Followers: 27)
Multiple Sclerosis and Related Disorders     Hybrid Journal   (Followers: 8)
Musculoskeletal Care     Hybrid Journal   (Followers: 19)
Musculoskeletal Science and Practice     Hybrid Journal   (Followers: 3)
Nigerian Journal of Orthopaedics and Trauma     Open Access  
North American Spine Society Journal (NASSJ)     Open Access   (Followers: 3)
OA Orthopaedics     Open Access   (Followers: 7)
Obere Extremität     Hybrid Journal   (Followers: 1)
Open Journal of Orthopedics     Open Access   (Followers: 3)
Open Journal of Orthopedics and Rheumatology     Open Access  
Open Journal of Trauma     Open Access  
Open Orthopaedics Journal     Open Access  
Operative Orthopädie und Traumatologie     Hybrid Journal  
Operative Techniques in Orthopaedics     Full-text available via subscription   (Followers: 6)
Orthopädie & Rheuma     Full-text available via subscription  
Orthopädie und Unfallchirurgie up2date     Hybrid Journal  
Orthopaedic Journal of Sports Medicine     Open Access   (Followers: 14)
Orthopaedic Nursing     Hybrid Journal   (Followers: 11)
Orthopaedic Proceedings     Partially Free  
Orthopaedic Surgery     Open Access   (Followers: 1)
Orthopaedics & Traumatology: Surgery & Research     Full-text available via subscription   (Followers: 6)
Orthopaedics and Trauma     Full-text available via subscription   (Followers: 28)
Orthopedic Clinics of North America     Full-text available via subscription   (Followers: 5)
Orthopedic Research and Reviews     Open Access   (Followers: 6)
Orthopedic Reviews     Open Access   (Followers: 7)
Orthopedics     Full-text available via subscription   (Followers: 6)
Orthoplastic Surgery     Open Access  
Osteoarthritis and Cartilage     Full-text available via subscription   (Followers: 20)
Osteoarthritis and Cartilage Open     Open Access  
Osteologie     Hybrid Journal  
Osteoporosis and Sarcopenia     Open Access  
OTA International     Open Access  
Paediatric Orthopaedics and Related Sciences     Open Access   (Followers: 3)
Pain Management in General Practice     Full-text available via subscription   (Followers: 12)
Prosthetics and Orthotics International     Hybrid Journal   (Followers: 8)
Revista Brasileira de Ortopedia     Hybrid Journal  
Revista Chilena de Ortopedia y Traumatología / Chilean Journal of Orthopaedics and Traumatology     Open Access  
Revista Colombiana de Ortopedia y Traumatología     Full-text available via subscription  
Revista Cubana de Ortopedia y Traumatologí­a     Open Access  
Revista de la Asociación Argentina de Ortopedia y Traumatología     Open Access  
Revista Española de Cirugía Ortopédica y Traumatología     Full-text available via subscription   (Followers: 1)
Revista Portuguesa de Ortopedia e Traumatologia     Open Access  
Revue de Chirurgie Orthopédique et Traumatologique     Full-text available via subscription   (Followers: 3)
Romanian Journal of Orthopaedic Surgery and Traumatology     Open Access  
SA Orthopaedic Journal     Open Access   (Followers: 2)
SICOT-J     Open Access   (Followers: 1)
Spine     Hybrid Journal   (Followers: 73)
Spine Journal     Hybrid Journal   (Followers: 26)
Sport-Orthopädie - Sport-Traumatologie - Sports Orthopaedics and Traumatology     Full-text available via subscription   (Followers: 3)
Strategies in Trauma and Limb Reconstruction     Open Access   (Followers: 1)
Techniques in Orthopaedics     Hybrid Journal   (Followers: 6)
Therapeutic Advances in Musculoskeletal Disease     Hybrid Journal   (Followers: 5)
Trauma     Hybrid Journal   (Followers: 5)
Trauma (Travma)     Open Access  
Trauma und Berufskrankheit     Hybrid Journal  
Traumatology     Full-text available via subscription   (Followers: 1)
Traumatology and Orthopedics of Russia     Open Access  
Zeitschrift für Orthopädie und Unfallchirurgie     Hybrid Journal   (Followers: 2)
Ортопедия, травматология и протезирование     Open Access  

           

Similar Journals
Journal Cover
OA Orthopaedics
Number of Followers: 7  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2052-9627
Published by OA Publishing London Homepage  [37 journals]
  • No title

    • Abstract: Stable trochanteric femur fractures can be treated successfully with conventional implants such as sliding hip screw, cephalomedullary nails, angular blade plates .However comminuted and unstable inter or subtrochanteric fractures with or without osteoporosis are challenging & prone to complications. The PF-LCP is a new implant that allows angular stability by creating fixed angle block for treatment of complex , comminuted proximal femoral fractures.We reviewed 30 patients with unstable inter- or – subtrochanteric fractures , which were stabilized with PF-LCP. Mean age of patient was 65 years, and average operative time was 80 minutes. Patients were followed up for a period of 3 years (june2010- june 2013). Patients were examined regularly at 3 weekly interval for signs of union (radiological & clinical), varus collapse (neck shaft angle), limb shortening, and hardware failure. ion criteria.All patients showed signs of union at an average of 9weeks( 8-10 weeks), with minimum varus collapse(<10 degrees), & no limb shortening and hardware failure. Results were analysed using IOWA( Larson) hip scoring.Average IOWA hip score was 77.5.PF-LCP represents a feasible alternative for treatment of unstable inter- or sub trochanteric fractures.
      PubDate: 04/09/2017 10:29:09 pm
       
  • Functional outcome of capitellar fracture fixation with cannulated
           cancellous screws.

    • Abstract: Introduction: Management of capitellar fractures is a challenge to the orthopaedic surgeons considering the complications they pose. They are rare injuries and fewer studies have been published, in view of this the present study was done over a span of 9 years in order to obtain and study adequate number of cases.The purpose of this study was to evaluate the functional outcome of capitellar fracture fixation with cannulated cancellous screws. Methods: Eighteen patients with capitellum fractures were studied between March 2002 and October 2010 (15 men and 3 women). Sixteen cases were operated within 9 days of injury. Patients were treated with open reduction and internal fixation using cannulated cancellous screws. All patients were followed up for a mean period of 49 months. Functional outcome was measured using Mayo elbow performance index and by radiology. Results: The mean Mayo elbow performance index score was 95. All patients except one had excellent functional ratings according to this evaluation. The mean range of movements at elbow in flexionextension was 1240 (1140-1340) while range of movements in pronationsupination was 1720 (1240- 1800). Radiologically no evidence of avascular necrosis was noted in any of the patients at 1 year of follow up. One patient had secondary arthritis. Conclusions: Cannulated cancellous screws fixation of capitellar fractures have very good functional outcome.
      PubDate: 04/09/2017 10:29:09 pm
       
  • Rib fracture fixation: Continued evolution.

    • Abstract: Although rib fractures have traditionally been treated with conservative measures, recent evidence is emerging to show that operative treatment of certain rib fracture injuries may be beneficial.  Currently, nonoperative management of rib fractures includes pain control and mechanical ventilation, while operative stabilization requires an open approach as well as surgical stabilization of the rib fractures with orthopaedic implants.  Future research goals including surgical technique, implant technology and surgical candidate inclusion criteria will potentially push this emerging area into a new surgical norm.
      PubDate: 04/09/2017 10:29:09 pm
       
  • Are intra-articular distal radius fractures best managed with volar
           locking plates or bridging external fixation?

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Do traumatic brain injuries lead to accelerated fracture healing?

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Computer-assisted navigation in orthopaedics.

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • The efficacy of continuous-flow cryotherapy machines in the acute recovery
           phase after lower extremity surgery: A systematic review with
           meta-analysis of randomized controlled trials.

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Hip injuries in athletes.

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Giant-cell tumour of the tendon sheath: A review.

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Metacarpal shaft fractures: A review.

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Patellar resurfacing compared with non-resurfacing in total knee
           arthroplasty: A 5-year follow-up study.

    • Abstract: The article has been forwarded to the production team. The processing may take few weeks. Then the proof will be forwarded to the corresponding author. The final PDF and HTML files will be uploaded when the corrections to the proof are returned by the corresponding author.
      PubDate: 07/27/2014 10:34:17 am
       
  • Evolution of arthroscopic shoulder stabilization: do we still need open
           techniques'

    • Abstract: Introduction: Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Clinicians, therefore, have been trying to find a technically simple, highly effective, reproducible procedure for recurrent anterior shoulder instability. The arthroscopic treatment of glenohumeral instability is becoming increasingly accepted as a viable treatment option. The purpose of this review is to evaluate the accuracy of arthroscopic techniques comparing them with the open surgical procedures, and to find out whether there are absolute contraindications for arthroscopic techniques. Materials and methods: We conducted a critical review of recently published relevant literature. Discussion: Arthroscopic stabilisation has become the panacea for traumatic shoulder instability due to the escalating advances in surgical techniques and technology. In comparison with open techniques, arthroscopic procedures have the advantages of decreased morbidity rate, early functional rehabilitation and improved range of motion. Conclusion: The absolute contraindications to arthroscopic shoulder stabilisation are decreasing every day.We believe that significant humeral head defects and sizable glenoid bone loss remain the only definitive indications for open surgery.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Should single- or two-stage revision surgery be used for the management of
           an infected total knee replacement' A critical review of the
           literature.

    • Abstract: A post-operative periprosthetic infection of a total knee replacement (TKR) is one of the most devastating complications for a patient to endure after their surgery and is a challenge for the orthopaedic surgeon to treat. In this critical review we present the current evidence to support a single stage revision of a TKR for periprosthetic infection and compare the outcome to that of a two stage revision procedure. In addition we also outline the methods of diagnosis used to identify a periprosthetic infection of a TKR.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Application of stem cells in orthopaedic conditions: what is the current
           evidence'

    • Abstract: Stem cell therapy plays an important role in orthopedic treatment. Although some studies have shown promising results in repair of bone, tendon, and cartilage, few studies have demonstrated incoherent results. The bone and cartilage regeneration ability of stem cells have been demonstrated clinically, but the tendon regeneration capability is still in experimental stage. Various factors including the stage of the disease, processing and concentration techniques, application and retaining methods control the disease outcome. Researchers have still not identified the best carrier of stem cells. This review will focus on basics of stem cells and their current recommendation in orthopedic conditions. 
      PubDate: 04/16/2014 12:15:02 pm
       
  • Robot-assisted unicondylar knee arthroplasty: A critical review.

    • Abstract: Unicompartmental knee arthroplasty (UKA) is an effective surgical treatment for unicompartmental arthritis. Although results can be optimized with careful patient selection and use of a sound implant design, the most important determinants of success of UKA is the component alignment.Studies have shown that component malalignment by as little as 2° may predispose to implant failure after UKA.Robot assisted UKA has been projected to address this issue which combines patient specificity and navigation.Modern day robots overcomes the problems with older generation robots like iatrogenic fractures and also introduces invivo dynamic assessment of the knee that incorporates sot tissue tension. Issues with learning curve,longer operating times and high cost investment persists.We discuss the technique of one such modern robotic design, review of literature with respect to accuracy in restoring limb alignment and their functional outcome.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Effect of implant stiffness on spinal growth in the pig spine.

    • Abstract: Introduction: According to the “vicious cycle” hypothesis proposed by Dr. Stokes, sensitivity to load has been implicated in the progression of spinal deformity during growth due to the reaction of vertebrae to mechanical loads on their growth plate. Mechanical loads on the vertebrae are altered by the mechanical stiffness of the spinal implant. Unfortunately, the relationship between the implant stiffness and the modulation of spinal growth is not quantified. The goal of this study was to investigate the effect of implant stiffness on this growth using experimental and finite element techniques. Methods:In-vitro and finite element studies involving multiple pig spines and segments (T1~T4, T5~T8, and T9~T12) were used. Springs of varying length (320 N/m stiffness) and a metal link (64.5 x 106 N/m stiffness) were attached to adjacent vertebrae and the spines distracted to model growth.  Discussion:It is shown that the addition of an implant to the spinal column will increase the stiffness of the spine.  Furthermore, as the stiffness increases the distraction of the spine decreases. In addition, asymmetric placement of the implant leads to rotation of the spine segment during distraction.  Conclusion:Spinal devices with different mechanical properties yield variable stiffness of the spine segments, as well as displacement and rotations, which will further affect the longitudinal growth of the spine.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Cartilage regeneration revisited: entering of new one-step procedures for
           chondral cartilage repair.

    • Abstract: Introduction This article reviews the evolution of cartilage regeneration therapeutic approaches from two-step cell-based autologous chondrocyte implantation (ACI) procedures to current one-step cell-free scaffold-assisted cartilage repair approaches for chondral cartilage repair. In particular, our research is focused on clinical data about commercially available cell-free implants used in regenerative medicine approaches for the treatment of chondral cartilage defects.   Materials and methods Public scientific literature and clinical trial databases like Medline and ClinicalTrials.gov were used to identify peer-reviewed articles reporting clinical data about commercially available cell-based and cell-free scaffold-assisted products for the treatment of chondral cartilage defects.   Results Chondral cartilage lesions do not heal spontaneously and may progress to severe osteoarthritis. For cartilage repair, a variety of surgical techniques have been established over the years. Further research led to the development of current new one-step cell-free scaffold-assisted cartilage repair approaches based on the experience with scaffold materials inprevious two-step autologous chondrocyte implantation procedures. Commercially available scaffold-based products for one-step chondral cartilage repair have been recently tested in first case series and showed promising clinical outcome in the short-term follow-up, butmedium- and long-term comparative studies are necessary to evaluate the regenerative potential of this new one-step cartilage repair procedure and to show its superiority over or adequacy to traditional approaches.   Conclusion This critical review summarizes the development from two-step cell-based ACI procedures to new one-step cell-free cartilage repair and discussed first clinical outcome of commercially available cell-free implants. This new approach, based on the principle of cell ingrowths and guidance towards tissue repair, showed promising first clinical results and is considered as an effective and safe treatment option for chondral cartilage repair.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Shoulder replacement in advanced glenohumeral osteoarthritis: current
           concepts review.

    • Abstract: Osteoarthritis of the glenohumeral joint is a source of severe pain and disability. Furthermore, shoulder OA are frequently associated with tear or atrophy of the rotator cuff that get worse the case history. Shoulder arthroplasty give satisfactory results, restoring shoulder function and improving patient’s quality of life. In this paper we reviewed the biomechanics, surgical technique and results of anatomical and reverse shoulder arthroplasty.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Adhesive capsulitis: is arthroscopic capsular release necessary'
           Current review.

    • Abstract: Introduction Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. It is said to be a self-limiting process. However, in some patients, the disease can last much longer than 1 year. There are current escalating challenges related to when and how to treat a frozen shoulder Most patients can be treated conservatively; nevertheless, indications for surgery still exist. Arthroscopic capsular release has become a popular procedure in the last few years and has proven to be a reliable and efficient procedure in selected refractory cases. Conclusion The purpose of this article is to review the literature on adhesive capsulitis and provide background information on this topic, including pathogenesis, diagnosis and management, and to describe our technique in arthroscopic capsular release.
      PubDate: 04/16/2014 12:15:02 pm
       
  • The value of conservative treatment versus surgery of non-displaced waist
           scaphoid fractures.

    • Abstract: Scaphoid fractures are the most common hand fracture. Traditionally, non displaced fractures of the scaphoid have been treated conservatively with the immobilisation of the hand with a cast, surgical fixation of the fracture is becoming increasingly popular due to quicker remobilisation and return to function. However, this was balanced against the risk of complications of surgery. This review article has found that there is no statistically significant benefit of either, with both treatment methods showing equally good outcomes at the final follow-up. Objective To review the treatment of scaphoid fractures comparing the effectiveness of conservative treatment with surgical intervention in non-displaced waist fractures of the scaphoid bone. Data sources and extraction Electronic databases including MEDLINE, PubMed, and the Cochrane library were searched with the key words of “scaphoid fracture”, “waist”, “conservative” and “surgery”. Study Selection A total of 12 articles were selected for this review. Data Synthesis A total of 158 articles were found during the search. The numbers of articles were reduced due to the specificity of the review article. Articles were evaluated to determine whether they fulfilled the inclusion criteria to be part of this review article. Only studies that included only non-displaced waist scaphoid fractures were included in this review. Surgical treatment Conclusion Both conservative and surgical treatments are used to treat non-displaced waist fractures of the scaphoid. Studies have shown that there are no long-term benefits of surgery compared to conservative management. However, surgery has a transient benefit in terms of range of motion, grip strength, but at final follow up both treatment groups showed no statistical significant differences in terms of outcome. One may prefer surgery due to the overall reduced cost as well as an earlier return to work and mobility.1 However, this must be balanced by the risk of surgical complications.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Update on trochanteric bursitis of the hip.

    • Abstract: Proximal lateral thigh pain is a common musculoskeletal complaint. Tenderness at the femoral greater trochanteric area is often diagnosed as trochanteric bursitis. This term is probably a misnomer because of evident non inflammatory pathologies, particularly of the abductor tendons of the hip and is currently referred as the greater trochanteric pain syndrome (GTPS). Although the clinical presentation seems straightforward it is important to differentiate this extra-articular source from an intra-articular or a lower back source of pain. Non-traumatic acute pain does not require the use of imaging modalities. Imaging of the lower spine and pelvis should be ordered in cases of prolonged pain or uncertain diagnosis. Non operative treatment that involves modifying activities, physiotherapy, analgesics, steroid injections and shock wave therapy is usually helpful. Nevertheless, despite the above treatments about one third of the patients suffer from chronic pain and disability. These patients may be candidates for operative intervention such as local decompression, bursectomy and suture of torn tendons. 
      PubDate: 04/16/2014 12:15:02 pm
       
  • Patient factors that influence the outcome of total knee replacement: A
           critical review of the literature.

    • Abstract: Introduction Total knee replacement (TKR) is a cost effective treatment for end stage osteoarthritis of the knee and the rate of this procedure continues to increase, which is thought to be due to an aging society with greater functional demands. The outcome of TKR is variable however, with approximately one in five patients not being satisfied with their knee after surgery. There are multiple patient factors that are thought to affect the outcome of TKR. Aim To review the published literature and present the current evidence regarding the influence of patient factors upon the outcome of TKR. Conclusion A patient’s outcome according to the Oxford knee score is not influenced by their age, socioeconomic status, and mental wellbeing, but is influenced by fulfilment of their pre-operative expectations and their post-operative general physical health. In contrast to the Oxford knee score the rate of patient satisfaction is influenced by socioeconomic status, mental wellbeing, in addition to fulfilment of expectations and the post-operative general physical health of the patient.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Functional outcome from anterior cruciate ligament surgery: A review.

    • Abstract: Positive outcomes from ACL reconstruction (ACLR) surgery are frequently reported within the literature. These papers often measure the patients’ outcomeagainst a baseline of their pre-operative post injury status, often reporting considerable improvements. This paper attempts to review the outcome of patients who have undergone ACLR, from a different perspective, by comparing their outcome to population norms across a variety of tests. Undertaking a comparison in this manner shows that the majority of ACLR patients do not make a full functional recovery when comparing their performance to that of their un-injured peers. It would appear that ACLR surgery provides positive benefits for the patient, but the challenge still remains for clinicians to return these patients to a full functional status.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Anterior knee pain and sensitivity after anterior cruciate ligament: its
           impact on sports.

    • Abstract: Anterior knee pain (AKP) and sensitivity deficits (SD) are frequently present at medium and long term after an arthroscopic Anterior Cruciate Ligament reconstruction (ACLr). The objectives of this study are to, on a sports population, identify and compare its rate of occurrence, localization and temporal evolution using two different types of autografts: bone-patellar tendon-bone (BTB) versus semitendinosus-gracilis (SG).For that, 50 male patients have been selected with a minimum follow-up of two years. In 50% the autograft chosen have been BTB. AKP and SD have been clinically evaluated and subjective tests have been applied. At two weeks post-operative, AKP was less reported when SG was used for harvesting (32% vs 21,7%, p>0,05) and this group had less duration of pain complains (p< 0,05). Hypoesthesia was present on 56% of the patients of the SG group (p< 0,05) and this group had less duration of those deficits (6,6 vs 12 months, p< 0,05). On both groups, hypoesthesia have been mostly reported at the infrapatellar branch of the safeno's nerve (100% OTO vs 57,1% SG). High maintenance of activity level and lesser time until sports authorization was present on BTB group (p>0,05). Knee walking test was mainly positive with BTB autograft (72% vs 28%, p< 0,05) and the Lysholm and IKDC-SKF scores have been similar for both groups. With this study we concluded that AKP as well as SD are a reality after an anatomic arthroscopic ACLr, being important to understand that its presence is correlated with the kind of graft chosen. However, and on a sports population, these complains weren’tassociated with poor knee function.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Navigation versus conventional high tibial osteotomy: systematic review.

    • Abstract: One major use for high tibial osteotomy (HTO) aims at improving alignment in the symptomatic, varus malaligned, medial compartment osteoartritic knee. The importance of achieving correct alignment is obvious upon considering the increased potential for significant complications with over- or under-correction in any plane. This systematic review searched the MEDLINE and EMBASE databases to compare the short-term clinical and radiological outcomes between patients undergoing either conventional or navigated HTO. We retrieved 52 articles which ultimately resulted in nine eligible studies for inclusion. Though heterogeneity prevented statistical analysis, only one study failed to suggest superiority of navigation over conventional techniques. We conclude that navigated high tibial osteotomy improves accuracy over conventional techniques, though the current best evidence presented herein must be advanced by higher quality studies.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Regression of an extruded lumbar disc herniation after thermomechanical
           massage bed therapy.

    • Abstract: Background and objective: Many patients with extruded lumbar disc herniation require surgical intervention but some neurological symptoms of intervertebral disc herniation may often improve with conservative treatment.  Although the spontaneous regression in size of a herniated disc is well known, that of a large disc extruded disc has been rarely reported.Case Report:A 42-year-old man with 1-month history of low back and left leg pain was admitted to our department. A large extruded disc fragment was found on the left side of the spinal canal at the L4-5 level on T2-weighted MRI.Conclusion:The case is reported here of the regression of a large lumbar disc extrusion after 1 year of thermomechanical massage bed treatment. The disc regressed with clinical improvement and was documented as a follow up MRI study nine months later.
      PubDate: 04/16/2014 12:15:02 pm
       
  • The role of newer synovial biomarkers in the diagnosis of periprosthetic
           infections.

    • Abstract: Periprosthetic infection (PJI) has remained the most annihilating adversity and intriguing challenge confronting orthopedic surgeons following joint arthroplasty procedures globally.The criticality of a surgeon’s decision in identifying an underlying infection prior to revision arthroplasties and managing such situations appropriately can never be understated. The current article reviews the role of novel synovial fluid biomarkers, Including PCR, CRP, leukocyte enzymes and other multiple molecular markers in identifying early periprsthetic infections.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Complications of arthroscopic meniscectomy in the hands of third world
           beginners.

    • Abstract: Aim. The purpose of this study was to evaluate the complications of arthroscopic partial meniscectomy especially in the early stages of experience with a review of literature. Methods. 170 patients in the age group of 18-50 years who underwent arthroscopic partial meniscectomy for isolated meniscal tears volunteered for the study.   Results. The intra operative complications were malpositioning of portals(n=7), difficulty in identifying the components of the tear(n=11), damage to the articular cartilage(n=12), excessive resection of the meniscus(n=8), breakage of blade during portal making (n=2), breakage of the punch forceps(n=1),and prolonged surgical time(n=30). The post operative complications were haemarthrosis(n=1), persistent swelling(n=22), portal site tenderness(n=12),deep venous thrombosis(n=2),saphenous nerve injury(n=1).However, we did not observe any infection(superficial or deep) . Most of the intra operative complications were observed during the initial surgeries. Conclusion. Arthroscopic Partial Meniscectomy is a minimally invasive procedure which in well selected patients is a method of choice for treatment of meniscal injuries when repair techniques are not a viable option. It has low morbidity, fast rehabilitation and low cost of care.  However even this procedure is not without complications especially for the surgeons who have just started doing the procedure. Since arthroscopy has a steep learning curve, the incidence of complications decreases with the experience of the surgeon.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Benign chondroblastoma with secondary aneurysmal bone cyst in scapula.

    • Abstract: Chondroblastoma is a benign bone tumor, but locally destructive lesion although metastases may occur. It commonly presents in the second decade of life. It is typically localised in the epiphyses of the long bones. We report a rare case of Chondroblastoma in scapula.Chondroblastoma is a rare benign tumor which is common in long bones. But there may be unusual presentations such as in flat bones(scapula). Radiographic diagnosis of an atypical chondroblastoma is more difficult because of a variety of possible diagnoses, including benign and malignant lesions, classical features may not be appreciable in all the cases, as was seen in our patient. Hence, histopathological examination of lesion must always be done.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Sesamoiditis of the metatarsophalangeal joint.

    • Abstract: Sesamoiditis of the Metatarsophalangeal (MTP) joint is a broad term categorizing a range of pathologies that can be painful and disabling. Running a search on Medline for “Sesamoiditis”, 35 articles were reviewed to be able to establish a common definition for Sesamoiditis and the appropriate treatment and diagnosis in managing this condition. As its definition and categorization is inconsistent throughout the literature available, more clinical data and audits are needed to increase the existing pool of literature in establishing a universal definition. However a high index of suspicion of Sesamoiditis and MRI scan remains the key for diagnosis after any pathology arise in the MTP Joint, as it is an easily missed condition.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Articular cartilage restoration using principles of tissue engineering.

    • Abstract: Articular cartilage has little capacity to repair itself. Any injury or degeneration of articular cartilage, be it a minor lesion may cause progressive damage and serious morbidity affecting people in every age group. In many cases, traditional surgical treatment has taste its own success. However, tissue engineering has emerged as a potential treatment modality aiming to repair and regenerate the damaged articular cartilage. This easy to assimilate paper will help multiple audiences to understand the significance and potential of the research by addressing currently available tissue engineering strategies and progresses in the field of articular cartilage restoration, with respect to cell sources, biomaterial scaffolds and growth factors.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Use of the tip - implant distance reduces variability in leg length
           discrepancy following hip replacement surgery.

    • Abstract: A minority of patients does suffer from symptomatic leg length discrepancy (LLD) following hip replacement surgery (THR). We report the success of a simple method of reducing variability in LLD using a single measurement of length made from a templated preoperative plan. A radiographic comparative study was conducted on consecutive patients undergoing THR surgery. The patients were separated into two groups dependent on the use of preoperative templating. The Tip-Implant distance was measured in the templated group, and this was reproduced intraoperatively. This is a measurement of the distance from the shoulder of the femoral implant to the tip of the greater trochanter. There were 27 templated and 20 non-templated hips that met the study criteria. The mean LLD (inter-teardrop to lesser trochanter) in the hips was not significantly different at +1.1mm(SD 3.9) and +2.9mm(SD 8.1) in the templated and non-templated hips respectively. The range of leg length discrepancy observed in the templated hips was -6mm to 11mm and in the non-templated hips was -6mm to 21mm. The pre and post operative mean Tip - Implant measurement was 16.1mm(SD 4.5mm) and 16.5mm(SD 5.2mm) respectively, which correlated strongly with paired t testing 0.749(p=.0001).There was a significant difference in variances with a Levene's test for equality F value of 12.0(p=0.01) suggesting a far narrower spread of LLD in the templated group. The Tip-Implant measurement determined preoperatively is reproducible intraoperatively and reduces the likelihood of LLD outliers in THR surgery.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Challenges in trauma management in a developing economy.

    • Abstract: Trauma accounts for a significant proportion of death and disability globally, and the impact is particularly enormous in developing low and middle income countries. Apart from cost-effective preventive strategies to reduce the risk of trauma, the determinants of favourable outcome following trauma include the immediate onsite emergency care, the expertise of manpower, availability of infrastructure and appropriate facilities for care, and access to specialized care. In many developing countries challenged by multiple communicable and non-communicable disorders, compounded by ailing and rudimentary health systems and inadequate manpower (in terms of absolute numbers and depth of experience and training), there is a disparate unacceptably higher mortality and morbidity from trauma compared to developed countries. Challenges to trauma care include inadequate pre-hospital trauma care protocol, staff with limited training in trauma management, non-availability and poor distribution of resources, communication deficiencies, transportation and general infrastructure deficits, lack of a holistic approach to trauma management, ignorance of the populace on basic life support measures, cultural and health-seeking behaviours preferring alternative unconventional care, and absent or limited institutional and governmental action to address trauma care. Strategies targeting these challenges and employing /adapting mechanisms proven to be effective in developed countries will reduce the burden of disease attributable to trauma in developing countries.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Outcome of retrograde intramedullary nailing and locking compression
           plating of distal femoral fractures in adults.

    • Abstract: In recent years, the treatment of distal femoral fractures has evolved although these fractures remain complex to treat and carry an inconsistent prognosis.Debate continues around choice of implant for fixation of metaphyseal-diaphyseal fractures. In this retrospective study, we evaluated and compared clinical and radiological outcomes of distal femur fracture stablization using retrograde nailing and locking compression plate constructs. Between 2008 and 2013, 103 patients with distal femoral fracture who had been treated by retrograde intramedullary IMIL nailing (n=57) and LCP plating (n=46) were evaluated in this study at our centre. Clinical and radiographic evaluation demonstrated osseous healing within 6 months following retrograde nail and LCP plating in over 75% of patients. Average time of union in LCP group was 6.8 months and in retrograde nailing group was about 7.4 months. In the retrograde nail group 5 out of 57 patients (9%) developed nonunion as no bony consolidation of the femoral fracture was observed 9 months after fixation. In the LCP group, nonunion was observed in 2 out of 46 patients (4%). Persistent knee pain and inability to use in type-C fractures are the main limiting factors of retrograde nail. In type-A fractures LCP plating was associated with less morbidity in terms of persistent knee pain and better range of movements at 2 years of follow-up than retrograde nailing. Locked plating may be utilized for all distal femur fractures including complex type C fractures and osteoporotic fractures.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Current designs and trends in reverse shoulder arthroplasty.

    • Abstract: Background: The need for finding a suitable treatment for patients suffering from cuff tear arthropathy has been the basis for the evolvement of reverse shoulder arthroplasty. This unorthodox implant with promising but not very satisfactory results, when early design results were reported, has seen a substantial increase in the recent years in the creation of new prostheses and implantations. Implants: The Delta design has been the one with most reports in the international literature. Based on this design several other prostheses have been developed. The complications, which have been encountered in early reports, have triggered alterations on the new delta and on other implants. As expected, no new studies with long term follow-up of new designs exist, while other models have yet to demonstrate any reported outcomes. All designs that exist so far and their alterations according to the first Delta prosthesis are being analysed in this review. Summary: Reverse shoulder arthroplasty has originated from the necessity of treating several troublesome pathologies. This recent plethora of reverse shoulder systems is manufactured in order to limit the rate of all complications reported in early designs. Future studies should permit for resolution of troublesome complications and discover which implant or implants offer an optimum survival rate along with above-average clinical outcomes.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Achilles tendon adaptation and Achilles tendinopathy in running.

    • Abstract: Achilles tendon adaptation and Achilles Tendinopathy in running Introduction: Achilles tendinopathy is a common overuse injury in runners and related to maladaptation of the Achilles tendon. The aim of the present review is to provide an overview of the literature on the adaptation of the Achilles tendon to running and the maladaptation caused by overloading of the tendon that leads to Achilles tendinopathy. Results/discussion: Cross-sectional studies reveal that runners have thicker Achilles tendons than non-runners, but no difference in Achilles tendon stiffness is found. Patients with Achilles tendinopathy have a larger Achilles tendon cross-sectional area, but lower stiffness than those of healthy people. Longitudinal studies on the adaptation of Achilles tendon mechanical properties are scarce and do not find a change in Achilles tendon size or stiffness. More longitudinal studies are necessary to find out what magnitude of strain is needed to trigger an adaptational response in tendons and to define a threshold between loading and overloading of the Achilles tendon.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Total wrist arthroplasty.

    • Abstract: The final abstract will be delivered by the author in due course.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Intramuscular haemangioma of vastus lateralis presenting as stiffness of
           knee in an adolescent.

    • Abstract: Introduction Intramuscular haemangiomas may present later in life as a cause of persistent symptoms and is frequently misdiagnosed, leading to a diagnostic delay of many years. Non specific presentation like knee stiffness is very rare and is not reported yet in the literature. Case presentation We present a case of an atypical presentation of intramuscular haemangioma as stiffnes of knee in a 16 year old boy with a diagnostic delay of 2 years. Conclusion Intramuscular haemangioma should be considered in the differential diagnosis of unexplained stiffness of the nearby joint and should be evaluated early to prevent diagnostic delay and achieve good results.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Hindfoot fusion: Additive triple fusion.

    • Abstract: Pain and malalignment around the hindfoot can lead to significant morbidity in patients. It is often difficult to manage these problems and various non-operative and operative strategies have been described. Arthrodesis has been a mainstay of operative surgery around the hindfoot. The techniques performed and published for these procedures have changed over the decades. Initially debridement and cast fixation was standard treatment, now rigid fixation is favoured often with more minimal surgical approaches. We will discuss management options, indications, contraindications and are own preferred surgical technique along with the relevant results in this review.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Treatment of infective non-union of diaphyseal fractures with Illizarov
           external fixation.

    • Abstract: Infection, despite its inflammatory general increase in surrounding blood supply, also leaves large areas of fracture ends dead and sclerotic. It is very difficult to obtain union when coexisting problems like deformity, infection and limb shortening is associated. There are many methods available in the management of infected non union of diaphyseal bones and all protocols have variable rates of success and failures. Most of them are limited in their abilities to re-establish extremity length, correction of deformity, eradicating infection and early functional rehabilitation of the limb during treatment. External fixation in septic environment appears to be the standard treatment for limb stabilization. Ilizarov and co-workers from Kurgan, Siberia, USSR have employed new biological technique and different system of ring external fixation with a principle “Infection fires in the flames of regeneration” and could achieve Bony union with Correction of pre-existing  deformities and eradicating infection.The present study is a prospective study comprising of 40cases of diaphyseal non union of long bones including patients of age group 21to 52 years of both sexes. Monofocal osteosynthesis was done in 27 cases and bifocal in 13 patients. Average duration of illizarov treatment was 10.7 months and average hospital stay was 51 days. Average length of bone regeneration was 3.8 cm ( 2.2-7cm). Ilizarov ring fixator is an excellent treatment modality in the management of non – union and infected non union of long bones with bone defect, which simultaneously addresses bone union, eradication of infection, correction of deformities, limb length achievement and limb function.
      PubDate: 04/16/2014 12:15:02 pm
       
  • Ankle ligament injury: Current concept.

    • Abstract: Acute ankle injuries during sports activities or social life are among the most commonly seen pathologies in the clinical practice of orthopedic traumatology. Approximately 20% of acute ankle sprains may develop chronic functional or mechanical instability. There is still not an established consensus on the prevention and the optimal treatment algorithm for acute ankle injuries. Primary clinical approach is the functional rehabilitation protocol in the management of acute ankle injuries. Surgical repair is indicated in particular patients who actively participate in high-demand sports activities and the ones with symptomatic mechanical instability following a failed functional treatment. Nonanatomic reconstructions should be avoided because of high incidence of impaired ankle biomechanics.
      PubDate: 04/16/2014 12:15:02 pm
       
 
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